DR. THOMAS TAEYEON YOO DO
NPI 1780389627
Student in an Organized Health Care Education/Training Program in Kettering, OH
About Dr. Thomas Taeyeon Yoo Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THOMAS TAEYEON YOO DO (NPI 1780389627) is an individual student in an organized health care education/training program in Kettering, Ohio and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Thomas Taeyeon Yoo Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KETTERING, OH 45429
KETTERING, OH 45429
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Thomas Yoo's NPI number?
The NPI number for Thomas Yoo is 1780389627. It was assigned to this individual provider in the NPPES registry on March 31, 2023.
Where is Thomas Yoo located?
Thomas Yoo practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 384-6800.
What is Thomas Yoo's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Thomas Yoo enrolled in Medicare?
Yes. Thomas Yoo is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Thomas Yoo was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Thomas Taeyeon Yoo, DO · NPI 1780389627
Student in an Organized Health Care Education/Training Program provider in Kettering, Ohio. Individual provider, active in the CMS NPPES registry since March 31, 2023.
## Identity
- **NPI:** 1780389627 (Entity type: Individual)
- **Enumerated:** March 31, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 3535 SOUTHERN BLVD, Kettering, OH 45429-1221
- **Phone:** (937) 384-6800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** July 1, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1780389627) · Data from the CMS NPPES public registry.